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Get Fl Tallahassee Memorial Healthcare Affidavit Of Next Of Kin

, 20 . 2. That the decedent did not leave a surviving spouse 3. That no personal representative has been appointed for the decedent s estate in this state or elsewhere and no application for such an appointment is pending in this state or elsewhere. 4. That this affidavit is made in support of the undersigned s request for the release of medical records. Further, your affiant sayeth naught. SIGNATURE: PRINTED NAME:.

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